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Forms Can Be Submitted via Email to lodellrtovt►ofa in s rfl ov or in person/via mail to (1 l°dliddlebrlsl
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lynn O'Dell 7
Lori McConologue tL�-`
Date Received:
FOIL Ser. #:
TOWN OF WAPPMGER
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IF �, -M +.,FOIL kEOUEST
DEPARTMENT:
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ASSESSOR
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ACCOUNTING
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CODE ENFORCEMENT
1',
PLANNING
ZONING
❑
FIRE INSPECTOR
❑
HIGHWAY
RECEIVER OF TAXES
TWr y W , FAX #:
RECREATION
Email address:
SUPERVISOR
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TOWN CLERK:
C A
WATER/SEWER
DOG CONTROL OFFICER
Ll
TOWN ENGINEER
11
TOWN ATTORNEY
Ll
FOR DEPARTMENT USE ONLY
Date Received by Dept 3/01/-03
Department Head approval:
(init)
Date Applicant Contacted: 3 / 2 /
Date FOIL fulfilled or denied: 3 J21 /
-03
Closed by:
Date: 31211113
Notes: S cnn"?_ ci OK i
Amount Due: --- Pages for a total of $
Name:
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J check here if you are
Address:
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requesting that the records
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be mailed to this address.
Agency or firm:
Telephone #: (
TWr y W , FAX #:
Email address:
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SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
F I request to be notified when I can come to inspect the record(s) described above
I request copies of the records described above .and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I request that the records be sent via e-mail to the address listed above
I request that the records be fared to the number listed above